Individual
JULIE B WAISBREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 N MAYFAIR RD STE 510, WAUWATOSA, WI 53226-4216
(414) 771-5900
(833) 599-2494
Mailing address
201 N MAYFAIR RD STE 510, WAUWATOSA, WI 53226-4216
(414) 771-5900
(833) 599-2494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65370-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699017855
—
WI
Enumeration date
03/26/2013
Last updated
11/03/2022
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